RIGHT HEART CATHETERIZATION OF THE AORTA THROUGH A PATENT DUCTUS ARTERIOSUS

PEDIATRICS ◽  
1950 ◽  
Vol 5 (3) ◽  
pp. 390-395
Author(s):  
FORREST H. ADAMS ◽  
JOHN LABREE ◽  
HERBERT M. STAUFFER

Two patients with atypical findings of a patent ductus arteriosus are presented in whom right heart catheterization proved its existence by the catheter passing through the ductus into the aorta. Right heart catheterization in one of these patients demonstrated a right descending aorta in the presence of a left aortic arch, the fourth patient with this anomaly to be reported.

Circulation ◽  
2015 ◽  
Vol 131 (15) ◽  
Author(s):  
Hoang H. Nguyen ◽  
Elizabeth Sheybani ◽  
Peter Manning ◽  
Tom Herman ◽  
Shafkat Anwar

Author(s):  
Jonan Chun Yin Lee ◽  
Jeanie Betsy Chiang ◽  
Boris Chun Kei Chow

Interrupted aortic arch (IAA) is an extremely rare congenital cyanotic heart disease characterized by complete disruption between the ascending and descending aorta. A patent ductus arteriosus (PDA) or other collateral pathways provide blood flow to the distal descending aorta. Mortality is extremely high at early infancy, particularly after the closure of ductus arteriosus. Survival and presentation in adulthood are extremely rare. Here we illustrate a rare case of type B interrupted aortic arch in an adult who presented with secondary polycythaemia. The blood supply to descending aorta and beyond is almost solely by a patent ductus arteriosus. The case demonstrates the value of multimodality imaging including CT and MRI for diagnosis and treatment planning in these patients.


2009 ◽  
Vol 44 (4) ◽  
pp. e29-e31 ◽  
Author(s):  
Emmanuel Le Bret ◽  
Bertrand Leobon ◽  
François Roubertie ◽  
Anne Sigal-Cinqualbre ◽  
Bertrand Stos ◽  
...  

PEDIATRICS ◽  
1954 ◽  
Vol 13 (1) ◽  
pp. 30-40
Author(s):  
CHARLOTTE FERENCZ ◽  
ARNOLD L. JOHNSON ◽  
ALTON GOLDBLOOM

This paper deals with the differential diagnosis of the cardiac lesion in infants who have enlargement of the heart associated with increased blood flow to the lungs, and in whom cyanosis is not a prominent feature. Some patients in this group have a patent ductus arteriosus in the absence of a typical continuous murmur, and these infants may urgently require the benefits of surgical therapy. Since the diagnosis can be established by aortography or heart catheterization, some criteria are required for the better selection of infants from this group in whom these investigations should be performed. Twenty-five infants form the subject of this study. In 19 the diagnosis was confirmed at autopsy. Eight patients had a patent ductus, either as an isolated lesion or in association with other defects; 10 had ventricular septal defects with or without overriding of the aorta; 5 had anomalous pulmonary vein drainage; one had an ostium atrioventricular communis and in one there was a functional single ventricle. Clinical, electrocardiographic and radiologic findings were analyzed. Important features which appear to favour the diagnosis of patent ductus arteriosus are full or collapsing pulses and a normal ECG or one showing evidence of combined ventricular hypertrophy. Suggestive, but of lesser importance, is the finding of an apical diastolic rumble and enlargement of the left atrium. All these findings may, however, be present in patients with other malformations, especially defects involving the ventricular septum. Evidence of marked hypertrophy of the right atrium and right ventricle by electrocardiography and fluoroscopy renders the presence of patent ductus unlikely and is consistent with the diagnosis of anomalous drainage of pulmonary veins.


Medicine ◽  
2018 ◽  
Vol 97 (31) ◽  
pp. e11738
Author(s):  
Jiabing Huang ◽  
Xiaofan Peng ◽  
Xiangqian Shen ◽  
Xinqun Hu ◽  
Zhenfei Fang

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